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  • Supervisor, Credentialing

    Centene Corporation (Jefferson City, MO)



    Apply Now

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

     

    **Position Purpose:** Supervise the daily operations of the credentialing function and provide guidance and performance feedback to staff.

    *The Supervisor, Credentialing position is primarily remote. Candidates that reside within the continental US are eligible for consideration. *

    Responsibilities:

    + Oversee the credentialing and re-credentialing process for assigned business units.

    + Oversee staff including performance management activities

    + Serve as the subject matter expert for activities related to credentialing.

    + Investigate and resolve complex credentialing issues.

    + Be an active participant in departmental planning initiatives to improve quality, efficiency, and overall departmental effectiveness.

    + Provide training to team members to ensure accurate and timely and credentialing of providers.

    + Prepare materials and facilitate Credentialing Committee meetings

    + Collaborate on facilitation of Clean Committee process.

    + Monitoring performance to ensure credentialing quality benchmarks are met.

    + Assist with and as needed, represent Credentialing during preparation and reviews associated with audit activity (e.g., NCQA, EQRO, Internal Audit).

    + Ability to thrive in a fast-paced environment and collaborate effectively within and across departmental lines.

    Highly Preferred Skills:

    + 3+ years of management experience

    + Prior experience working in a fast paced and dynamic environment

    + Working knowledge of health insurance

    **Education/Experience:** Bachelor’s degree in related field or equivalent experience. 3+ years of combined management and provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment.Pay Range: $55,100.00 - $99,000.00 per year

     

    Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

     

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

     

    Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

     


    Apply Now



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